Individual
DR. ADAM PAUL TYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
21000 SW DAHLKE LN, SHERWOOD, OR 97140-8386
(503) 925-8600
Mailing address
21000 SW DAHLKE LN, SHERWOOD, OR 97140-8386
(503) 925-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9258
OR
Other
Enumeration date
02/11/2009
Last updated
08/12/2010
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